1. Host lung microbiota promotes malaria-associated acute respiratory distress syndrome
- Author
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Debanjan Mukherjee, Ângelo Ferreira Chora, Jean-Christophe Lone, Ricardo S. Ramiro, Birte Blankenhaus, Karine Serre, Mário Ramirez, Isabel Gordo, Marc Veldhoen, Patrick Varga-Weisz, and Maria M. Mota
- Subjects
Disease Models, Animal ,Respiratory Distress Syndrome ,Multidisciplinary ,Plasmodium berghei ,Microbiota ,General Physics and Astronomy ,Animals ,General Chemistry ,Lung ,General Biochemistry, Genetics and Molecular Biology ,Malaria - Abstract
Severe malaria can manifest itself with a variety of well-recognized clinical phenotypes that are highly predictive of death – severe anaemia, coma (cerebral malaria), multiple organ failure, and respiratory distress. The reasons why an infected individual develops one pathology rather than another remain poorly understood. Here we use distinct rodent models of infection to show that the host microbiota is a contributing factor for the development of respiratory distress syndrome and host mortality in the context of malaria infections (malaria-associated acute respiratory distress syndrome, MA-ARDS). We show that parasite sequestration in the lung results in sustained immune activation. Subsequent production of the anti-inflammatory cytokine IL-10 by T cells compromises microbial control, leading to severe lung disease. Notably, bacterial clearance with linezolid, an antibiotic commonly used in the clinical setting to control lung-associated bacterial infections, prevents MA-ARDS-associated lethality. Thus, we propose that the host’s anti-inflammatory response to limit tissue damage can result in loss of microbial control, which promotes MA-ARDS. This must be considered when intervening against life-threatening respiratory complications.
- Published
- 2022